Menopausal Health Status of the Nepalese Women
a Pilot Study
DOI:
https://doi.org/10.31729/jnma.2907Keywords:
health problems; menopause; Nepal; women.Abstract
Introduction: Menopause is an unavoidable and sometimes problematic condition in which women may suffer from a number of health problems. Knowledge of the major symptoms associated with menopause helps reduce the burden and stress associated with the condition. In this context, a study was conducted to establish baseline data regarding menopausal health problems among Nepalese women.
Methods: A descriptive cross-sectional study was conducted among 2000 women aged over 40 years to identify their knowledge, attitude and practice related to menopausal health problems. Data was collected by interviewing the women and doing physical examination. Analysis was done using descriptive statistics and SPSS software was used for data analysis.
Results: A cohort of 2073 women (ages 40-60 years) participated in the research, among them 2000 yielded complete response. The study revealed that 820 (41%) women had reached menopause. The average age of menopause was 48.7 years. Majority of the women 1183 (59.2%) in the study did not know about menopausal health problems. Abnormal bleeding 353 (17.65%), sweating 315 (15.75%), hot flushes 299 (14.95%), joint/muscle pain 285 (14.25%) were the most common menopausal symptoms known by the women. Joint pain 736 (36.8%), hot flushes 584 (29.2%), irregular bleeding 582 (29.1%) were the most common experienced symptoms of menopause and only 586 (29.3%) consulted the health workers to alleviate menopausal symptoms. Moreover, most of the women 926 (46.3%) accepted menopause as a part of life.
Conclusions: The research has tried to establish the baseline of menopausal health problems in the Nepalese women. The average age of menopause was 48.7 years. Majority did not know about menopausal health problems. Further researches with nationally representative sample are recommended to further explore the menopausal health problems of Nepalese women.
Keywords: health problems; menopause; Nepal; women.
References
2. WHO. Research  on  the  menopause  in  the  1990's . A report of the WHO Scientific Group. Geneva, Switzerland: World Health Organization; 1996. [PubMed]
3. Sowers MR, La Pietra MT. Menopause: its epidemiology and potential association with chronic diseases. Epidemiol Rev. 1995;17(2):287-302. [PubMed]
4. Simkin-Silverman LR, Wing RR, Boraz MA, Meilahn EN, Kuller LH. Maintenance of cardiovascular risk factor changes among middle-aged women in a lifestyle intervention trial. Womens Health. 1998;4(3):255-71. [PubMed]
5. Barrett-Connor, E. Epidemiology and the menopause: A global overview. International Journal of Fertility and Menopausal Studies. 1992;38:6-14. [PubMed]
6. Abildgaard J, Pedersen AT, Green CJ, Harder-Lauridsen NM, Solomon TP, Thomsen C, et al. Menopause is associated with decreased whole body fat oxidation during exercise. Am J Physiol Endocrinol Metab. 2013;304(11):E1227-36. [PubMed]
7. McKinlay JB, McKinlay SM, Brambilla DJ. Health status and utilization behavior associated with menopause. Am J Epidemiol. 1987;125(1):110-21. [PubMed]
8. Greendale GA, Judd HL. The menopause: health implications and clinical management. J Am Geriatr Soc. 1993;41(4):426-36. [PubMed]
9. Dennerstein L, Dudley E, Burger H. Well-being and the menopausal transition. J Psychosom Obstet Gynaecol. 1997;18(2):95-101. [PubMed]
10. Yanikkerem E, Koltan SO, Tamay AG, Dikayak Åž. Relationship between women's attitude towards menopause and quality of life. Climacteric. 2012;15(6):552-62. [PubMed]
11. Rajbhandari S, Amatya A, Giri K. Relation of Ethnicity and Menopausal Symptoms in Nepal. J South Asian Feder Menopause Soc. 2013;1(2). [Full Text]
12. Acharya D, Gautam S, Neupane N, Kaphle HP, Singh JK. Health Problems of Women above Forty Years of Age in Rupandehi District of Nepal. Int J Health Sci Res. 2013;3(3):29-36. [Link]
13. Marahatta RK. Study of menopausal symptoms among peri and postmenopausal women attending NMCTH. Nepal Med Coll J. 2012;14(3):251-5. [PubMed]
14. Chuni N, Sreeramareddy CT. Frequency of symptoms, determinants of severe symptoms, validity of and cut-off score for Menopause Rating Scale (MRS) as a screening tool: a cross-sectional survey among midlife Nepalese women. BMC Womens Health. 2011;11:30. [PubMed]
15. Nisar N, Sohoo NA. Severity of Menopausal symptoms and the quality of life at different status of Menopause: a community based survey from rural Sindh, Pakistan.118-30. [Full Text]
16. Schoenaker DA, Jackson CA, Rowlands JV, Mishra GD. Socioeconomic position, lifestyle factors and age at natural menopause: a systematic review and meta-analyses of studies across six continents. Int J Epidemiol. 2014;43(5):1542-62. [PubMed]
17. Loh FH, Khin LW, Saw SM, Lee JJ, Gu K. The age of menopause and the menopause transition in a multiracial population: a nation-wide Singapore study. Maturitas. 2005;52(3-4):169-80. [PubMed]
18. Woods NF, Mitchell ES. Symptoms during the perimenopause: prevalence, severity, trajectory, and significance in women's lives. Am J Med. 2005;118 Suppl 12B:14-24. [PubMed]
19. Ghimire N, Dhakal P, Norrish D, Dangal G, Sharma D, Dhimal M, et al. Menopausal Health Status of Women of Kapilvastu District of Nepal. J Nepal Health Res Counc. 2015;13(31):182-7.
[PubMed]
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